Active NPI
Bryan Muriel, COTA
- Health Service Clinic/Center
- Stone Mountain, GA
National Provider Identifier
1306274527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 8951
- Practice address
- 5141 Stone Mountain Hwy
Lot 13
Stone Mountain, GA 30087-3454 - Phone
- (386) 747-9918
- NPI assigned
- Oct 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 8951 | NC | Primary |
Addresses
Primary practice location
5141 Stone Mountain Hwy
Lot 13
Stone Mountain, GA 30087-3454
Mailing address
5141 Stone Mountain Hwy
Lot 13
Stone Mountain, GA 30087-3454
Phone (386) 747-9918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8951 | NC | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1306274527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 STONE MOUNTAIN HWY",
"address_2": "LOT 13",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873454",
"telephone_number": "386-747-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 STONE MOUNTAIN HWY",
"address_2": "LOT 13",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873454",
"telephone_number": "386-747-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURIEL",
"first_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-25",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NC",
"license": "8951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.